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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1303582

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1. CONSERVATIVE LEADERSHIP POLITICAL ACTION COMMITTEE

    3128 N. 17th Street
    Arlington, VA 22201
    Email: david@davidfenner.com;ted@kochandhoos.com

    NOTE: Email address is different than previously reported

2. Date: 01/09/2019

3. FEC Committee ID #: C00010363

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

David Fenner
11468 Meath Drive
Fairfax, VA 22030
Title: Treasurer
Phone # (202) 615-5015

Treasurer:

David Fenner
11468 Meath Drive
Fairfax, Virginia 22030
Title: Treasurer
Phone # (202) 615-5015

Designated Agent(s):

Theodore V Koch
901 N Washington St, Suite 700
Alexandria, Virginia 22314
Title: Designated Agent
Phone # (703) 299-8570

Banks or Depositories

Bank of America
P.O. Box 25118
Tampa, Florida 33622

Signed: David Fenner
Date Signed: 01/09/2019

(End FEC FORM 1)

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